LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC. (NPI# 1235116286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235116286 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC. |
| Practice Address |
715 Falconer St Jamestown NY 14701-1935 |
| Practice Telephone | 7166654905 |
| Practice Fax Number | 7166658132 |
| Mailing Telephone | 7166654905 |
| Mailing Fax Number | 7166658132 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | MELISSA NURMI (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7166658028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0602308ZN | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00314618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477857209 | Lutheran Social Services of Upstate New York, Inc. | Clinic/Center | 715 Falconer St, Jamestown, NY 14701-1935 | 2011-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC. | 715 Falconer Street, Jamestown, Ny 14701 |
| Street Address |
715 FALCONER ST |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749453 | Doreen Iula | Nurse Practitioner | 715 Falconer St, Jamestown, NY 14701-1935 | 2014-07-31 |
| 1477857209 | Lutheran Social Services of Upstate New York, Inc. | Clinic/Center | 715 Falconer St, Jamestown, NY 14701-1935 | 2011-01-10 |
| 1356512339 | Janene Wittik Bockrath | Occupational Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2008-03-18 |
| 1194996173 | James Michael Bockrath | Physical Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2008-03-18 |
| 1255511549 | Miriam L Todd | Occupational Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2007-11-05 |
| 1104012012 | Teri Lynne Kress | Physical Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2007-09-25 |
| 1467588798 | Amanda Renee Rice | Occupational Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2007-02-23 |
| 1922133396 | Merry D Schang | Physical Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2007-02-23 |
| 1780719302 | Anna Lynne Wright | Occupational Therapist | 715 Falconer St, Jamestown, NY 14701 | 2007-02-22 |
| 1992830962 | John Joseph Kranzo | Physical Therapist | 715 Falconer St, Jamestown, NY 14701-1935 | 2007-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999516 | Ct Ohio Jamestown LLC | Skilled Nursing Facility | 4960 Old Us 35, Jamestown, OH 45335 | 2018-04-19 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1669613071 | Greatest Generation, Inc. | Skilled Nursing Facility | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2009-03-13 |
| 1174713598 | Lp Jamestown LLC | Skilled Nursing Facility | 208 N Duncan St, Jamestown, TN 38556-3101 | 2007-08-01 |
| 1366552739 | Adams Farm Living Inc | Skilled Nursing Facility | 5100 Mackay Rd, Jamestown, NC 27282-9761 | 2006-08-30 |
| 1689675548 | Fair Oaks Health Systems, LLC | Skilled Nursing Facility | 1 Sparks Ave, Jamestown, KY 42629-2418 | 2005-08-02 |
| 1821099870 | Health & Care Management, Ltd | Skilled Nursing Facility | 1300 2nd Place Ne, Jamestown, ND 58401-3709 | 2005-08-02 |
| 1366448706 | Gerry Homes Inc | Skilled Nursing Facility | 150 Prather Ave, Jamestown, NY 14701-6710 | 2005-06-21 |
| 1295738193 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 501 19th St Ne, Jamestown, ND 58401-2541 | 2005-05-24 |
| 1144605924 | Pristine Senior Living of Jamestown LLC | Skilled Nursing Facility | 4960 Old Us Route 35 E, Jamestown, OH 45335-1712 | 2015-07-22 |
| Find all providers in JAMESTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.